4823 Shevlin Ct - Inspection FormSump pumps
r' 7
Foundation drains
/ 4
/
Roof drains
l
city La
Residential Sanitary Sewer Service
Compliance Inspection
d)
Date._ / ) /
Name
PID Number
House Number
OwnerlOeiupant Signature
Compliance
No foundation drain connection
No roof drain connection
%Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
W No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
1 (
White Copy: Property Owner
Time
Disk #
Street Name
Non - Compliance
O
O
O
O
0
• b pm
��tr �li7br
Alternative Mailing Address
For information call 651.470.2788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
1
Yellow Copy: City of Eagan
Record Number
-
Phone f- ,
Obstruction
Unable to push past
feet
Entered S..L.,at
' -✓
kW
• - ` l l am
Time ` • o pm
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
, r % '� , 3. - - - _ems /,,`
Final Cleanout: , r'-'/ 1._ .! i
t /;n/ i - . 7.
Number Discharged
Total Correctly Incorrectly Unknown
Notes
I - ' /
s /J. ?,a' fir /..-- •
- 11;4176)(1/:,
Pink Copy: SEH